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在本科医学教育中开展纵向外科准备课程的混合方法需求评估。

A Mixed-Methods Needs Assessment for a Longitudinal Surgical Preparation Course in Undergraduate Medical Education.

机构信息

Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio.

出版信息

J Surg Educ. 2023 Apr;80(4):537-546. doi: 10.1016/j.jsurg.2023.01.001. Epub 2023 Jan 24.

Abstract

OBJECTIVE

To assess the unmet needs associated with surgical education and skill development during the pre-clerkship years of medical school.

DESIGN

A mixed-methods design was employed that leveraged semi-structured interviews and quantitative surveys followed by qualitative analysis.

SETTING

A large midwestern academic medical center.

PARTICIPANTS

Eighteen participants were enrolled representing second year medical students with an interest in surgery, surgical residents, and attending surgeons from a diverse array of surgical specialties.

RESULTS

Unanimous support for the creation of a pre-clerkship surgical skills course emerged due to 2 main themes: (1) gaps in current surgical education offerings and (2) the value of early exposure to surgery and surgical skills followed by longitudinal practice. The components that participants deemed essential to a well-designed course were also revealed. Each stakeholder group (medical students, residents, surgeons) would benefit across all factors uncovered.

CONCLUSIONS

There is a significant unmet need across all stakeholder groups for the creation of a longitudinal surgical skills course for pre-clerkship medical students. Future studies should seek to design a curriculum based on these study results and assess a pilot version of the curriculum to understand its feasibility under application.

摘要

目的

评估医学院预科阶段手术教育和技能发展方面未满足的需求。

设计

采用混合方法设计,利用半结构化访谈和定量调查,然后进行定性分析。

地点

中西部一所大型学术医学中心。

参与者

共纳入 18 名参与者,代表对手术感兴趣的二年级医学生、外科住院医师和来自不同外科专业的主治外科医生。

结果

由于 2 个主要主题,一致支持创建预科外科技能课程:(1)当前外科技能教育提供方面的差距,(2)早期接触手术和外科技能以及随后进行的纵向实践的价值。还揭示了参与者认为对于精心设计的课程至关重要的组成部分。每个利益相关者群体(医学生、住院医师、外科医生)都将从所有发现的因素中受益。

结论

对于为预科医学生创建外科技能纵向课程,所有利益相关者群体都存在显著的未满足需求。未来的研究应根据这些研究结果设计课程,并评估课程的试点版本,以了解其在应用中的可行性。

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Medical School Training for the Surgeon.外科医生的医学院培训。
Surg Clin North Am. 2016 Feb;96(1):1-13. doi: 10.1016/j.suc.2015.08.007.

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